Individual
MENA AZAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
226 SHADY GROVE DR, NASHVILLE, TN 37214-2157
(615) 889-6816
Mailing address
2113 FORGE RIDGE CIR, NASHVILLE, TN 37217-3028
(615) 810-4392
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11364
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2020
Last updated
09/22/2023
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